VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1250809
Sex: F
Age: 67
State: TX

Vax Date: 02/19/2021
Onset Date: 03/26/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Onset of sudden hearing loss left ear

Other Meds: None

Current Illness: None

ID: 1250810
Sex: F
Age: 40
State: IN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Tylenol

Symptom List:

Symptoms: Extreme tiredness, headache & loss of appetite

Other Meds: Trelegy 100mcg/62.5mcg/25mcg, Azelastine Nasal spray, Fluticasone Nasl spray, Zyzal 5mg, Levothyroxin 25mcg, Montelukast 10mg, Duloxetine 20mg, Probiotic, Ventolin HFA 90 MCG Inhaler

Current Illness: None

ID: 1250811
Sex: F
Age: 43
State: AZ

Vax Date: 04/16/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Doxycycline

Symptom List:

Symptoms: Noticeable weakness on Thursday 4/22/21 during Pilates workout also pain in the left armpit. Saturday 4/24/21 woke up around 4am with an overall ache in the whole left arm as well as swelling and pain in the upper arm immediately around the injection site.

Other Meds: Allegra, Benadryl, hibiscus tea

Current Illness: None

ID: 1250812
Sex: M
Age: 36
State: TX

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Flushed / Sweating-Mild

Other Meds:

Current Illness:

ID: 1250813
Sex: F
Age: 54
State: NC

Vax Date: 04/22/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Bacitracin ointment, pollen

Symptom List:

Symptoms: Glandular swelling and discomfort near right armpit

Other Meds: Effexor, tizanidine, centrum silver, meloxicam, turmeric, Allegra, probiotic, Sudafed, Swedish bee pollen

Current Illness: Seasonal allergies, thyroid cancer

ID: 1250814
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 03/10/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: FLU SYMPTOMS; SKIN HURT; FATIGUE; MUSCLE ACHES; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802072) dose was not reported, administered on 09-MAR-2021 18:00 to Left Arm for prophylactic vaccination. No concomitant medications were reported. On 10-MAR-2021, the subject experienced fatigue. On 10-MAR-2021, the subject experienced muscle aches. On an unspecified date, the subject experienced flu symptoms, and skin hurt. The patient recovered from fatigue, and muscle aches, and the outcome of flu symptoms and skin hurt was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1250815
Sex: F
Age: 55
State:

Vax Date: 04/20/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Sulphar drugs

Symptom List:

Symptoms: Intense itching and arm very red Prior to this from time of shot for 48 hours arm was very painful

Other Meds: Hormone replacement therapy

Current Illness:

ID: 1250816
Sex: F
Age: 25
State: MA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: Pt received IM pfizer 1520 vaccine onset of slight itching to throat without noted swelling 1550 pt turned around in car drove back to cvs received 25 mg benadryl po at 1602 pt monitored in observation area back and neck blotching with goose bumps noted. pt speech remained clear speaking full sentences. Pt blotching to neck and anterior neck improved pt itching improved with second dose of benadryl given at 1620. Pt parents arrived has epipen at home sent with benadryl education done. pcp to cal

Other Meds:

Current Illness:

ID: 1250817
Sex: F
Age: 38
State: OH

Vax Date: 03/18/2021
Onset Date: 03/28/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Day of vaccine arm was extremely sore and felt overall tired as if I was coming down with something. After that was fine until day 10, woke up feeling short of breath and over all not well. On day 16, began a racing heart. This has continued to current day. 3 ekgs normal, blood work done 4 times all normal, CBC, thyroid, metabolic panel, heart, etc. 3 chest X-rays normal, echocardiogram normal. But still short of breath and occasional racing heart that often wakes me from a deep sleep.

Other Meds: Baby aspirin, 1000 mg vitamin c and vitamin D3

Current Illness: No e

ID: 1250818
Sex: F
Age: 49
State: TN

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: thirst dry mouth fever tired injection site pain

Other Meds: none

Current Illness: none

ID: 1250819
Sex: F
Age: 76
State: NM

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1250820
Sex: F
Age: 35
State: OH

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Heavy period started a day after receiving the second covid-19 vaccination shot. I have an IUD and have not had a period other than light spotting for almost 5 years. This lasted ~48 hours. It was an unexpected side effect. Reporting this after reading some articles on the subject that recommended reporting to VAERS to support in aggregating women?s experiences in case there is more that can be learned about why this happens.

Other Meds: None

Current Illness: None

ID: 1250821
Sex: F
Age: 24
State: NY

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: during post vaccination observation period, patient fell to floor, never lost consciousness, immunizing tech alerted pharmacist on duty, patient was alert but lightheaded while laying on back, we elevated feet using her chair, provided ice pack for head and water bottle for hydration. Patient remained lying down with feet elevated for about 15 minutes then returned to seated position with ice pack on top of head. Patient was observed by staff and parent/friend 30 minutes before leaving.

Other Meds:

Current Illness:

ID: 1250822
Sex: F
Age: 68
State: PA

Vax Date: 04/16/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Tylenol with coedine

Symptom List:

Symptoms: Within 3 days was feeling super tired and then the next day I woke up with the whole left side of my face numb

Other Meds: Pantoprazole, losartan, hydrochlorothiazide, spironolactone ,vitamin D, Tylenol

Current Illness: None

ID: 1250823
Sex: F
Age: 16
State: RI

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: patient briefly fainted post vaccination, was accompanied by mother, immunizing pharmacist assisted with care, provided ice pack for head, laid patient on back with feet elevated, patient returned to conciousness, after returning to seated position patient complained of nausea so we returned patient to laying on back feet elevated. Patient was observed by immunizing pharmacist and mother prior to leaving under own ability. BP 123/81 HR 87 at 555pm, injection was at 517pm.

Other Meds:

Current Illness:

ID: 1250824
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: CHEST TIGHTNESS; MUSCLE SORENESS; SMALL HEADACHE; NAUSEA; COLD CHILLS; FEVER; This spontaneous report received from a patient concerned an adult of unspecified sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: UKNOWN expiry: UNKNOWN) .5 ml, administered on 06-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced chest tightness. On MAR-2021, the subject experienced muscle soreness. On MAR-2021, the subject experienced small headache. On MAR-2021, the subject experienced nausea. On MAR-2021, the subject experienced cold chills. On MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the muscle soreness, small headache, nausea, cold chills, fever and chest tightness was not reported. This report was non-serious.; Sender's Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1250825
Sex: F
Age: 41
State: FL

Vax Date: 03/12/2021
Onset Date: 03/20/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Shingles outbreak approximately 2 weeks after vaccination. I had never had shingles before.

Other Meds: Duloxetine 120mg daily, larin fe 1-20 daily, adderall 15mg daily, trazadone 100 mg as needed for sleep

Current Illness: None

ID: 1250826
Sex: M
Age: 69
State:

Vax Date: 01/09/2021
Onset Date: 01/20/2021
Rec V Date: 04/24/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: heart attack from blood clot

Other Meds: blood pressure medication, cholesterol medication

Current Illness:

ID: 1250827
Sex: F
Age: 19
State: OH

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/24/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: After receiving my second dose, I started to develop mouth ulcers covering the entire inside of my mouth. Throughout the weekend, they continued to develop. I went to the ER to receive pain medication, as the ulcers were so bad that I could not talk or eat. The following morning, I passed out going to pick up my medication at CVS, where I was taken back to the hospital in an ambulance and had a 103 degree fever. I was given IV fluids and was sent on my way. I was on strict bedrest for 4 days, until on Thursday 04/22/2021, I was readmitted to the ER due to worsening of the sores and lack of nutrition. For 3 days since then, I have been on IV fluids, pain medication, and taking a steroid solution to help the ulcers in my mouth lessen. The doctors here believe that it is an extremely strong reaction to the COVID-19 vaccine second dose.

Other Meds: Junel (Birth Control) Lexapro Melatonin supplement

Current Illness: none

ID: 1250828
Sex: F
Age: 30
State: NJ

Vax Date: 04/14/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfa medications

Symptom List:

Symptoms: Sore injection site a few hours after shot, headache. The next day entire arm was sore and migraine, zero energy. A week later, itchy red spot that has turned into a ring

Other Meds: None

Current Illness: None

ID: 1250829
Sex: F
Age: 39
State: WI

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: spots on inner cheek-Severe, Additional Details: Patient previously reacted to first dose. MD recommend they continue to receive 2nd dose. Patient took Benedryl (~5min) before arrival. Immunizing RPh waited an additional 10min before administering. 911 was called but caregiver took patient to ER themselves

Other Meds:

Current Illness:

ID: 1250830
Sex: M
Age: 25
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Rocephin

Symptom List:

Symptoms: Swollen armpit lymphnodes around 11am, followed by body chills and muscle aches. Fatigue happened around 3. After Tylenol chills went away after 7 hours but my armpits still hurt 24 hours later.

Other Meds: Tylenol, Ibuprofen

Current Illness: None

ID: 1250831
Sex: F
Age:
State: WA

Vax Date:
Onset Date: 03/09/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT HAD RECEIVED PARTIAL DOSE OF JANSSEN AS AN 1-2ML DRIPPED OUT OF SYRINGE; SYRINGES RECEIVED WITH THE VACCINE WERE DULL, SOME CONTENTS SPILLED OUT OF SYRINGE / NEEDLE; This spontaneous report received from a health care professional concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included coronary disease, gastroenterologist consultation (gi consult), polymyalgia/rheumatica, foraminal stenosis cervical region, and hypertension (htn), and other pre-existing medical conditions included no information on allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805029 expiry: UNKNOWN) .5 ml, administered on 09-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-MAR-2021, the subject experienced subject had received partial dose of janssen as an 1-2ml dripped out of syringe. On 09-MAR-2021, the subject experienced syringes received with the vaccine were dull, some contents spilled out of syringe / needle. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the patient had received partial dose of janssen as an 1-2ml dripped out of syringe and syringes received with the vaccine were dull, some contents spilled out of syringe / needle was not reported. This report was non-serious. The suspected product quality complaint has been confirmed to be voided: did not meet pqc criteria based on the PQC evaluation/investigation performed.

Other Meds:

Current Illness: Cervical foraminal stenosis; Coronary disease; Gastroenterologist consultation; Hypertension; Polymyalgia rheumatica

ID: 1250832
Sex: F
Age: 54
State: CA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None aware of

Symptom List:

Symptoms: Headache since getting the vaccine , been taking 2 Tylenol?s every day but doesn?t help

Other Meds: Vit C & D, calcium, probiotics for women,, triple flex , turmeric, omega 3, zinc

Current Illness: No

ID: 1250833
Sex: F
Age: 37
State: MI

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: On 4/23/21, client received Moderna vaccine instead of second dose Pfizer.

Other Meds:

Current Illness:

ID: 1250834
Sex: M
Age: 52
State: CO

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe Fatigue in Legs and lower extremities. Since 3/28/2021

Other Meds: Diclofenic sodium 75mg, levocirtizine hydrochloride,, Flovent Multivitamin, vitamin b complex, glucosamine chondriton, fish oil

Current Illness: None

ID: 1250835
Sex: F
Age: 61
State: GA

Vax Date: 04/22/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No

Symptom List:

Symptoms: server arm pain in both Armes both hips pain cold chest. Cough chills. Pain in arms and hips subsidie the next day about 11:00 am . but cold like system still. Here. Taking over the counter med.Running nose.

Other Meds: None

Current Illness: None

ID: 1250836
Sex: F
Age: 63
State: IN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillins

Symptom List:

Symptoms: Headache, body ache, fever of 99.2

Other Meds: Lisinopril/htz 20-25mg, levothyroxin 150mg, amlodipine 5 mg, citalopram 10mg, loratadine 10mg, aspirin low ec 81mg, omeprazole 20mg, simvastatin 40mg, NM Vit D3 2000unit, areds2

Current Illness: None

ID: 1250837
Sex: F
Age: 65
State: FL

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Severe, Systemic: Joint Pain-Severe

Other Meds:

Current Illness:

ID: 1250838
Sex: F
Age:
State: ND

Vax Date:
Onset Date: 03/11/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: JANSSEN COVID 19 VACCINE LEAKED OUT OF SYRINGE UPON ADMINISTRATION; This spontaneous report received from a pharmacist concerned a 39 year old female. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025 expiry: UNKNOWN) dose was not reported, administered on 11-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-MAR-2021, the subject experienced janssen covid 19 vaccine leaked out of syringe upon administration. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of janssen covid 19 vaccine leaked out of syringe upon administration was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1250839
Sex: M
Age: 24
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills Fever Headache Tiredness Arm soreness Nauseous

Other Meds: Seasonal Allergy medicine

Current Illness: None

ID: 1250840
Sex: M
Age: 27
State: IL

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: convulsed immediately after getting shot, less than 10 sec, came to in less than 10 sec-Mild, Systemic: Seizure-Mild, Additional Details: he covulsed immediately after injection, staff got him on floor, he awoke in less than 10 sec and was completely aware, knew his name, where he was, and relatively the current time. We had him lay on floor with feet up, he said he felt fine, had normal blood pressure 142/88 hr 89, when emt arrived he felt lightheaded so they took him to hospital, He said no history of seizures, but said does pass out and do this after injections.

Other Meds:

Current Illness:

ID: 1250841
Sex: M
Age: 29
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Chills-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Severe, Additional Details: none

Other Meds:

Current Illness:

ID: 1250842
Sex: M
Age: 49
State: CO

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/24/2021
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Allergies: None

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Symptoms: Sunday morning, around 12:10am, I started getting chills/trembling/body shakes and my muscles all over my body ached. I was so miserable all morning I couldn't hardly sleep and later that morning, I could hardly stand for more than 5 minutes. That lasted all of Sunday and I maintained a mild headache. I drank a lot of water all day and ate very little. I thought it would pass by the next morning. At 2:30am Monday morning a 2nd wave hit me, I had more trembling/ body shakes, this time it lasted for a little over an hour. I woke up again and again through the night and in the morning I had a terrible headache and nausea and vomited to the point of dry heaving. I slowly drank water with electrolytes. At around 6pm Monday, I am finally starting feel normal again and made a meal of eggs and bacon with toast and felt fine afterward. I have had no other symptoms since that day.

Other Meds: 4000 IU of Vitamin D, 30mg of Zinc, 3000mg of Vitamin C and a small handful (about 10 tablets) of Chlorella

Current Illness: I received a tetanus shot April 1st 2021 from a small dog bite that left a single tooth mark in my right wrist. This was don as a precaution and the urgent care doctor was advised I had a vaccination shot planned April 17th and said as long as the shots were 14 days apart I'd be fine.

ID: 1250843
Sex: F
Age: 50
State: FL

Vax Date: 04/07/2021
Onset Date: 04/18/2021
Rec V Date: 04/24/2021
Hospital: Y

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Allergies: None

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Symptoms: Heart attack due to tear in major artery in heart

Other Meds: Vyvanse wellbutrin Lorazepam

Current Illness: None

ID: 1250844
Sex: F
Age: 29
State: ME

Vax Date: 03/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Symptoms: Systemic: Fainting / Unresponsive-Medium, Additional Details: pt became very dizzy and almost fainted, she went to er after by personal vehicle

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Current Illness:

ID: 1250845
Sex: M
Age: 50
State: CA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Symptoms: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Additional Details: anxious before the shot. started sweating and felt dizzy 2-3 minutes after the shot. gave water to patient and asked them to take deep breaths. patient then started to become unresponsive,pale with no blood flow to face. no improvement was seen and then epinephrine shot (adult) was administered. patient started to regain consciousness and became slightly responsive after a couple minutes. had the patient sit down and put theit legs up on a chair. EMT arrived and out of caution took them to ER.

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Current Illness:

ID: 1250846
Sex: F
Age: 58
State: MD

Vax Date: 04/01/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Allergies: None

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Symptoms: 5 inch area bruised/swollen/harden/with blisters

Other Meds: None

Current Illness: None

ID: 1250847
Sex: F
Age:
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Onset Date: 03/10/2021
Rec V Date: 04/24/2021
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Symptoms: STUFFY NOSE; RUNNY NOSE; SORE THROAT; This spontaneous report received from a parent concerned a female of unspecified age. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, 1 total, administered on 09-MAR-2021 for prophylactic vaccination. Batch number was not reported and has been requested. No concomitant medications were reported. On 10-MAR-2021, the subject experienced sore throat. On 11-MAR-2021, the subject experienced stuffy nose. On 11-MAR-2021, the subject experienced runny nose. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the stuffy nose, runny nose and sore throat was not reported. This report was non-serious.; Sender's Comments: V0 Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1250848
Sex: M
Age: 24
State: CA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Symptoms: Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Severe, Systemic: Seizure-Medium, Additional Details: after patient was given vaccine, he slumped into chair and fell over and started having a seizure. seizure lasted for about 10 seconds and regained consciousness. paramedics were called and he was taken to the hospital. patient said that he had an extreme fair of needles and that he had fainted that last time he got a vaccine.

Other Meds:

Current Illness:

ID: 1250849
Sex: F
Age: 36
State: GA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/24/2021
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Allergies: None

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Symptoms: Hot flashes and chills- lasted for 24hrs Headache - lasted 48hrs Tired - lasted 48hrs Swollen lymp node in left armpit - lasted 96hrs Sore neck left side - lasted 96hrs

Other Meds: Collagen peptides Mct oil

Current Illness: None

ID: 1250850
Sex: F
Age: 41
State: IN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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Allergies: Nickel

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Symptoms: Full body aches, chills, headache, fatigue lasting about 12 hours

Other Meds: No

Current Illness: No

Date Died: 04/15/2021

ID: 1250851
Sex: F
Age: 56
State: NV

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/24/2021
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Allergies: Zithromax

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Symptoms: She had a lymph tissue lumps fever chills muscle aches headache. She said she felt about 50% better the following day. She eventually succumbed and passed away.

Other Meds: Morphine Sulfate, hydrocodone, propafenone , carvidol, xarelto, lisinopri, pantoprazole, ondansetron

Current Illness: Atrial fibrillation Chronic back pain High blood pressure

ID: 1250852
Sex: F
Age: 53
State:

Vax Date: 04/21/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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Symptoms: Rash on arms started after three days. Also mild flu symptoms

Other Meds: None

Current Illness:

ID: 1250853
Sex: F
Age: 60
State: CA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Symptoms: Systemic: Allergic: Itch Generalized-Medium, Additional Details: Administered second dose on right arm. Client reported no reaction after first dose except for sore arm. No history of allergies or adverse reactions from vaccine. Reported generalized itchiness. Gave 50 mg Benadryl. Client's husband drove her here and back home. First dose of vitals: 97.7 degrees F, 82 bpm, 98% O2, 130/94 BP, RR 16 at 1756. Second dose of vitals taken 1815: 72 bpm, 98% O2, 97 degrees F, BP 120/80. Client left approx. 1830 reports decreased generalized itchiness.

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Current Illness:

ID: 1250854
Sex: F
Age: 43
State: GA

Vax Date: 04/16/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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Allergies: None

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Symptoms: Red, hot, hard, itchy blotch 2" in diameter developed 1 week post shot administration.

Other Meds: None

Current Illness: None

ID: 1250855
Sex: F
Age:
State: NC

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Onset Date: 03/11/2021
Rec V Date: 04/24/2021
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Symptoms: CHEST TIGHTNESS; NEED TO KEEP CLEARING HER THROAT; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022 expiry: UNKNOWN) dose was not reported, administered on 11-MAR-2021 at 10:00 on left arm for prophylactic vaccination. No concomitant medications were reported. On 11-MAR-2021, the subject experienced chest tightness. On 11-MAR-2021, the subject experienced need to keep clearing her throat. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chest tightness and need to keep clearing her throat was not reported. This report was non-serious.

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Current Illness:

ID: 1250856
Sex: M
Age: 43
State:

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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Symptoms: Fever, chills, rash 12 hours after vaccination and again the 2nd night after vaccination

Other Meds:

Current Illness:

ID: 1250857
Sex: F
Age: 40
State: MA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 04/24/2021
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Allergies: Shellfish, codeine

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Symptoms: Numbness/loss of feeling around nose, mouth, chin and neck beginning on evening of second dose. The following morning I had full body hives and still numbness/tingling in face and neck. Benadryl helped. Symptoms began about 6:15 pm on Thursday and we?re cleared up by 3:00 on Sunday.

Other Meds: Post vaccination - Tylenol, motrin, Benadryl

Current Illness: None

ID: 1250858
Sex: M
Age: 61
State: CA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Symptoms: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm